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CT abdomen and pelvis with contrast

CPT 74177 · negotiated-rate distribution across hospitals in IN

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Hospitals
20
Min
$232.74
Median
$232.74
Max
$5,360.68
Range multiplier
23.0×

By payer (43 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS6248$65.14$443.8$3,259.3550.0×
Medicaid672$65.14$157.3$222.443.4×
UnitedHealthcare766$95.66$243.91$824.458.6×
mhs care connect636$65.14$157.3$222.443.4×
Aetna727$232.74$369.23$7833.4×
Humana722$232.74$232.74$362.061.6×
Medicare Advantage720$232.74$232.74$365.651.6×
Medicare714$232.74$232.74$358.481.5×
patoka valley tier 1614$443.8$443.8$443.81.0×
patoka valley tier 2614$443.8$443.8$443.81.0×
Ambetter78$232.74$232.74$681.112.9×
smarthealth ppo/hdhp 2016100166$232.77$232.77$232.771.0×
corizon66$232.74$232.74$232.741.0×
ascension complete mcr66$232.74$232.74$232.741.0×
encore exclusive66$443.8$443.8$443.81.0×
smarthealth ppo66$232.77$232.77$232.771.0×
personalized care66$232.74$232.74$232.741.0×
immergrun66$232.74$232.74$232.741.0×
secure horizons-pacificare66$232.74$232.74$232.741.0×
CareSource66$232.74$232.74$232.741.0×
Cigna15$362.06$374.65$693.11.9×
WellCare12$358.48$358.48$358.481.0×
avmed exchange12$645.26$645.26$645.261.0×
bc advantage mcr replacement12$358.48$358.48$358.481.0×
Blue Cross Blue Shield12$358.48$358.48$358.481.0×
careplus mcr replacement12$365.65$365.65$365.651.0×
employer direct healthcare12$627.34$627.34$627.341.0×
Molina12$663.19$663.19$663.191.0×
occunet12$663.19$734.89$806.581.2×
Oscar Health12$573.57$573.57$573.571.0×
pace place12$358.48$358.48$358.481.0×
research study encore borland-groover12$358.48$358.48$358.481.0×
smarthealth12$501.87$501.87$501.871.0×
VA Health12$358.48$358.48$358.481.0×
90 degree benefits12$645.26$645.26$645.261.0×
velocity provider ppo network11$5,360.68$5,360.68$5,360.681.0×
haven hospice11$358.48$358.48$358.481.0×
community hospice11$358.48$358.48$358.481.0×
america's choice provider11$5,003.3$5,003.3$5,003.31.0×
prime health services11$6,075.43$6,075.43$6,075.431.0×
quik trip11$5,360.68$5,360.68$5,360.681.0×
usa managed care organization11$5,360.68$5,360.68$5,360.681.0×
Multiplan11$500$500$5001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
REHABILITATION HOSPITAL OF INDIANAINDIANAPOLISIN6$7,147.57$7,147.57$500$5,360.68$6,075.43
ASCENSION ST. VINCENT DUNNBEDFORDIN23$1,873.25$693.1$351.31$369.23$824.45
ASCENSION ST. VINCENT WARRICKBOONEVILLEIN20$2,871$1,722.6$65.14$232.74$1,999.65
ASCENSION ST. VINCENT JENNINGSNORTH VERNONIN20$4,880$2,928$65.14$232.74$3,259.35
ASCENSION ST. VINCENT WILLIAMSPORTWILLIAMSPORTIN20$5,495$3,297$65.14$232.74$2,939.83
ASCENSION ST VINCENT SETON SPECIALTYINDIANAPOLISIN20$904$542.4$65.14$232.74$650
ST VINCENT SETON SPECIALTY HOSP-LAFLAFAYETTEIN20$904$542.4$65.14$232.74$650
ST. MARY MEDICAL CENTER INC.HOBARTIN20$2,871$1,722.6$65.14$232.74$1,999.65
DUPONT HOSPITALFORT WAYNEIN0$7,686$3,458.7
LAPORTE HOSPITALLAPORTEIN0$3,471.01$1,874.35
DUKES MEMORIAL HOSPITALPERUIN0$7,679$4,223.45
MARGARET MARY COMMUNITY HOSPITALBATESVILLEIN0$3,269.9$2,746.72
LUTHERAN MUSCULOSKELETAL CENTERFORT WAYNEIN0$10,680$2,883.6
MARION GENERAL HOSPITALMARIONIN0$2,484$1,490.4
LUTHERAN HOSPITAL OF INDIANAFT WAYNEIN0$9,095$3,274.2
PORTER REGIONAL HOSPITALVALPARAISOIN0$12,221$4,399.56
GOOD SAMARITAN HOSPITALVINCENNESIN0$328.9$322.32
SCHNECK MEDICAL CENTERSEYMOURIN0$4,348$3,043.6
BLUFFTON REGIONAL MEDICAL CENTERBLUFFTONIN0$9,347$5,140.85
STARKE MEMORIAL HOSPITALKNOXIN0$3,471.01$1,909.06

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.